OrganizationActive
Bass & Kamp South Main LLC
NPI 1306486840 · Dental Clinic/Center · Blacksburg, VA
Bass & Kamp South Main LLC is a Dental Clinic/Center organization in Blacksburg, VA (NPI 1306486840).
Provider details
- NPI number
- 1306486840
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Tebbenkamp, Member(540) 838-5050
Practice location
210 Professional Park Dr Se Ste 11
Blacksburg, VA 24060-6649
Phone: (540) 951-3989
Street-level locationGet directions
Mailing address
210 Professional Park Dr Se Ste 11
Blacksburg, VA 24060-6649
Registry dates
- Enumerated
- 2020-01-13
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.